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Chapter 7

PSY 0818 Chapter Notes - Chapter 7: Masturbation, Dyspareunia, Posttraumatic Stress Disorder

Course Code
PSY 0818

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Sexuality Chapter 7
I. What’s a sexual problem
a. DSM breaks sexual problems into 4 categories
i. Sexual desire disorders
ii. Sexual arousal disorders
iii. Orgasm disorders
iv. Sexual pain disorders
b. Half of all married couples experience a sex problem at some point in their
marriage (3-33% had a problem that lasted at least a month)
c. Three dimensional model of sexual problems
i. Duration
1. Primary-sexual problem is one that has always existed in
the person’s sexual life
2. Secondary-one that’s occurring now but was not present at
some point in the person’s past sexual experiences
ii. Context
1. Global-problem is one that occurs for an individual or
couple in virtually all settings
2. Situational- problem is experienced in specific settings but
is absent in other contexts
iii. Frequency
1. Total-occurs every time in a given setting
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2. Partial-occurs often enough to cause distress but not on
every occasion in that particular setting
II. Sources of Sexual Problems
a. Biological causes
i. Body is incapable of responding appropriately
ii. Can be neurological, hormonal, or vascular
iii. Can be because of the abuse of alcohol or other drugs
iv. SSRIs
b. Psychological causes
i. Strong emotions such as stress, fear, guilt, anxiety, and depression
trigger responses in nervous and endocrine systems that are
incompatibile with sexual arousal (fight or flight)
ii. PTSD
c. Relationship Issues
i. Loss of trust
ii. Poor communication
iii. Anger and resentment
iv. Conflicting sexual expectations
v. Lack of respect
vi. Loss of love
vii. All are intertwined that’s virtually impossible for a couple to be
experiencing a problem with one factor without also feeling the
effects on at least some of the others
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